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professional development > budget's, ethics, morals, conflict resolution > Flashcards

budget's, ethics, morals, conflict resolution Flashcards

1
Q

what is a capital budget?

A

funds allocated for equipment and building structures/repairs such as IV pumps, MRI machines, bladder scanners etc
-requests for new equipment MUST include a clinical impact statement

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2
Q

what is an operating budget

A

funds allocated to things used/needed daily to keep the place OPERATING with two components: labour and supply/expense i.e. supplies, linens, medications

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3
Q

what is a CEO earnings report

A

-monthly reports of key areas that senior management tracks
i.e. sick paid hours per employee, sick unpaid hours per employee, sick leave relief hours, works comp, overtime, orientation hours

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4
Q

what is a fixed cost

A

costs of goods that they have to have and remain relatively the same i.e rent, supplies etc

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5
Q

what is a variable cost

A

costs that change i.e. staff, and RN is more expensive than a PCA

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6
Q

what is a labour budget

A

-the cost of staff needed based on how many they need, skill mix, full-time vs part-time etc

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7
Q

what is a supply and expense budget

A

-account for a variety of items used daily i.e. syringes, alcohol swabs etc
-usually based on previous years

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8
Q

conflict as a negative

A

interferes with organization climate and decreases morale and teamwork

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9
Q

conflict as a positive

A

unites group and motivates them, empowers members to work toward a solution

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10
Q

4 stages of conflict

A
  1. frustration
    2.conceptualization
    3.action
    4.outcomes (may return to frustration based on outcome)
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11
Q

approaches to conflict resolution

A

-avoiding
-accommodating
-competing
-compromising
-collaborating

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12
Q

avoiding conflict approach

A

they deliberately ignore or withdraw from a conflict rather than face it

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13
Q

accommodating conflict approach

A

they will set aside their own needs to please the other people involved in the conflict to keep the peace
-not fulfilling and will burn out

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14
Q

competing conflict approach

A

views conflict as a win-lose scenerio
they are assertive and uncooperative, they will compete with the other person/group to “win” the conflict

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15
Q

compromising conflict approach

A

both sides sacrifice something to reach a mutually acceptable solution
-think creating a fair deal is better than no deal

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16
Q

collaborating conflict resolution

A

aims to address the concerns of all parties involved and create a mutually acceptable agreement that satisfies all underlying needs and interests

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17
Q

7 ethical principles

A

1.autonomy
2.justice
3.beneficence
4.nonmaleficence
5.veracity
6.fidelity
7.confidentiality

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18
Q

what is autonomy

A

the right to chose

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19
Q

criticism of autonomy

A

autonomy can lead to a focus on the rights or needs of others; mitigated by enactment of relational ethics

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20
Q

what is justice

A

the concept that everyone should be treated equally and fairly

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21
Q

what is beneficence

A

actions should do good

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22
Q

what is nonmaleficence

A

actions should do no harm

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23
Q

what is veracity

A

the obligation to tell the truth (versus acceptability of deception)

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24
Q

what is fidelity

A

the need to keep promises

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25
Q

what is confidentiality

A

obligation to respect privacy of others
-right to privacy

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26
Q

nurses code of ethics

A

-canadian nurses association code of ethics for registered nurses
-international council of nurses code of ethics

27
Q

7 primary values of the CNA code of ethics

A

1.safe, compassionate, competent, and ethical care
2.health and well-being
3.respect for informed decision making
4.dignity
5.privacy and confidentiality
6.justice
7.accountability

28
Q

What is moral uncertainty

A

conflict between one or more values and uncertainty about the correct course of action

29
Q

what is ethical violation

A

actions or failure to act that breach fundamental duties to a person receiving care or to colleagues and other health care providers

29
Q

what is an ethical dilemma

A

equally compelling reasons for or against a possible course of action

30
Q

what is moral distress

A

the individual knows the right thing to do, but the organization constraints make it difficult to take the right course fo action

31
Q

long term consequences of moral distress

A

-moral residue
-moral resilience

32
Q

steps in ethical decision makings

A

-clarify the need
-identify all people involved
-arrange a meeting
-select a facilitator
-identify areas of agreement
-identify areas of disagreement
-offer resources
-seek outside advice
-make a decision
-implement the decision

33
Q

what is total patient care

A

assigned nurse assumed total responsibility for meeting the needs of all assigned patients during their time on duty

34
Q

benefits of total patient care

A

-holistic, increases autonomy and responsibility, assignments are not difficult, clear lines of responsibility, care is consistent

35
Q

disadvantages of total patient care

A

-higher cost
-requires high skill
-higher trained personnel performing care PCAs could provide
-poorly skilled or inexperienced individuals=not safe

36
Q

what is functional nursing

A

-professional and non-professional staff
-uses unskilled workers who have been trained to do certain tasks
-care is assigned by task not pts
-determined by scope of practice
i.e. bath nurse, IV nurse, medication nurse etc

37
Q

benefits of functional nursing

A

-efficient use of various personnel
-tasks completed quickly
-little confusion regarding responsibility
-more economical
-allows care to be provided with minimal # of RNs

38
Q

disadvantages of functional nursing

A

-care is less holistic
-care is fragmented and task-orientated
-priority health needs may be overlooked
-low job satisfaction
-lapses in communication may occur
-professional nurses may find this frustrating

39
Q

what is team nursing

A

a team of caregivers collaborate to provide care to a group of patients
-team should be NO MORE than 5 people

40
Q

benefits of team nursing

A

-efficient use of personnel
-comprehensive care with proper team communication
-autonomy of members result in high satisfaction
-decisions are made at grassroots level
-patient satisfaction improved

41
Q

disadvantages of team nursing

A

-lack of time for communication
-fragmented care
-blurred lines of responsibility
-large teams are difficult to manage

42
Q

what is primary nursing

A

-requires an ALL-RN staff
-RN assumes 24h responsibility for planning the care of one or more patients from admission to discharge
-during work hours the primary nurse provides total patient care

43
Q

benefits of primary nursing

A

consistent care
-holistic & high-quality care
-increased autonomy and responsibility
-high levels of job satisfaction
-patient satisfaction improved

44
Q

disadvantages if primary nursing

A

-RN needs enough education and experience
-RN may not be willing or ready to take on role
-varying schedules may make implementation difficult

45
Q

what is case management nursing

A

-coordinates health care by planning, facilitating, and evaluating interventions across levels of care for cost containment and quality outcomes
-improved pt outcomes and dec length of stay

46
Q

what does choosing the best patient care delivery system depend on?

A

1.skill & expertise of staff
2.availability of RNs
3.economic resources of the organization
4.acuity of patients
5.complexity of care

47
Q

bill 70: an act respecting patient safety and quality assurance in the province

A

-requires close call, occurrence, adverse health event
-requirement to review and report
-no retaliation

48
Q

what is a just safety culture

A

the goal is to promote safety in reporting and to foster fairness, consistency, and transparency

49
Q

what is a close call

A

a potential occurrence that did not actually occur due to chance, corrective action, or timely intervention

50
Q

what is an occurrence

A

an undesired or unplanned event that does not appear to be consistent with the safe provision of health services

51
Q

what is an adverse health event

A

an occurrence that results in an unintended outcome which negatively affects a patient’s health or quality of life

52
Q

CSRS submission process

A

1.CSRS submission
2.management investigation
3.quality risk manager review
4.occurence coding and closure
5.loop closure

53
Q

proximal social determinants of health for indigenous people

A

health behaviours
physical and social environment

54
Q

intermediate social determinants of health for indigenous people

A

community infrastructure
resources
systems
capacities

55
Q

distal social determinants of health for indigenous people

A

historic
political
social
economic contexts

56
Q

what is jordan’s principle

A

-by jordan river anderson
-“child-first principle”
-ensures all first nations children in Canada can access the products, services, and supports they need when they need them

57
Q

six core competencies in CINA, CNA, and CASN

A
  1. postcolonial understanding
    2.communication
    3.inclusivity
    4.respect
    5.indigenous knowledge
    6.mentoring and supporting students for success
58
Q

what is centralized scheduling

A

-staffing decisions made by a central office

59
Q

what is decentralized scheduling

A

-staffing is done at the unit level, frequently by the unit manager

60
Q

advantages of centralized scheduling

A

-tends to be more fair to staff
-frees middle manager for other tasks
-most cost effective

61
Q

disadvantages of centralized scheduling

A

-does not provide flexibility to the nurse
-does not account for nurses desires or special needs
-manager may not be as responsive to personal budget control

62
Q

advantages of decentralized scheduling

A

-allows manager to make the decisions
-allows staff to make requires directly to the manager
-allows staff to feel more in control of their scheduling

63
Q

disadvantages of decentralized scheduling

A

-inc risks of staff treated inconsistently
-time consuming
-difficult to ensure high-quality staffing decisions

professional development (19 decks)

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